PDF(Pubmed)
Abstract：
BACKGROUND: Global nursing workforce shortage represents an impediment to the delivery of safe, evidence-based healthcare. Despite collective efforts, a consistent stream of nurses leaving the profession remains, particularly within the first five years of practice, which is exacerbated in rural communities. The aim of the study was to compare self-efficacy, grit, and rural career aspirations among nursing graduates between their second and fourth year of their nursing profession.
METHODS: As part of a longitudinal investigation, a repeated cross-sectional design was utilised. Participants included, 117 (response rate 52.2%) who completed an online questionnaire 18-24 months after graduating, and 32 participants (response rate of 21.0%) who agree to repeat the questionnaire 36-48 months after graduating. The questionnaire included demographic, employment, and measures examining general and occupational self-efficacy, grit, and rural career aspirations.
RESULTS: No differences between general and occupational self-efficacy or grit were identified between second- and fourth-year nurses. In addition, the importance placed on undertaking rural career also remains unchanged. However, a higher proportion of fourth year nurses were more likely to be in management or were considering leaving the profession.
CONCLUSIONS: This examination of early career nurses, now in their second and fourth-year post-graduation highlights self-efficacy, grit, and rural career aspirations remains stable between two- and four-years following graduation, while nursing in their fourth year were more likely to consider leaving the profession. Nursing retention is a \'Wicked Problem\' that is unavoidably a complex amalgam of macro, meso and micro factors that we are yet to fully appreciate.
METHODS: As part of a longitudinal investigation, a repeated cross-sectional design was utilised. Participants included, 117 (response rate 52.2%) who completed an online questionnaire 18-24 months after graduating, and 32 participants (response rate of 21.0%) who agree to repeat the questionnaire 36-48 months after graduating. The questionnaire included demographic, employment, and measures examining general and occupational self-efficacy, grit, and rural career aspirations.
RESULTS: No differences between general and occupational self-efficacy or grit were identified between second- and fourth-year nurses. In addition, the importance placed on undertaking rural career also remains unchanged. However, a higher proportion of fourth year nurses were more likely to be in management or were considering leaving the profession.
CONCLUSIONS: This examination of early career nurses, now in their second and fourth-year post-graduation highlights self-efficacy, grit, and rural career aspirations remains stable between two- and four-years following graduation, while nursing in their fourth year were more likely to consider leaving the profession. Nursing retention is a \'Wicked Problem\' that is unavoidably a complex amalgam of macro, meso and micro factors that we are yet to fully appreciate.
摘要：
背景：全球护理人员短缺是安全、基于证据的医疗保健。尽管集体努力,持续不断的护士离开这个行业，特别是在实践的头五年里，这在农村社区更加严重。这项研究的目的是比较自我效能感，砂砾,以及护理专业第二年和第四年之间护理毕业生的农村职业抱负。
方法：作为纵向调查的一部分，使用了重复的横截面设计。参与者包括,117名（回复率52.2%）毕业后18-24个月完成在线问卷，32名参与者（回答率为21.0%）同意在毕业后36-48个月重复问卷。问卷包括人口统计，employment,以及检查一般和职业自我效能感的措施，砂砾,和农村职业抱负。
结果：在二年级和四年级护士之间没有发现一般和职业自我效能或勇气之间的差异。此外,对农村事业的重视也保持不变。然而,更高比例的四年级护士更有可能在管理或正在考虑离开该行业。
结论：这项对早期职业护士的检查，现在在他们毕业后的第二年和第四年突出自我效能感，砂砾,毕业后的两年至四年，农村职业抱负保持稳定，而四年级的护士更有可能考虑离开这个行业。护理保留是一个“邪恶的问题”，不可避免地是一个复杂的宏观汞合金，我们还没有充分认识到的中观和微观因素。
方法：作为纵向调查的一部分，使用了重复的横截面设计。参与者包括,117名（回复率52.2%）毕业后18-24个月完成在线问卷，32名参与者（回答率为21.0%）同意在毕业后36-48个月重复问卷。问卷包括人口统计，employment,以及检查一般和职业自我效能感的措施，砂砾,和农村职业抱负。
结果：在二年级和四年级护士之间没有发现一般和职业自我效能或勇气之间的差异。此外,对农村事业的重视也保持不变。然而,更高比例的四年级护士更有可能在管理或正在考虑离开该行业。
结论：这项对早期职业护士的检查，现在在他们毕业后的第二年和第四年突出自我效能感，砂砾,毕业后的两年至四年，农村职业抱负保持稳定，而四年级的护士更有可能考虑离开这个行业。护理保留是一个“邪恶的问题”，不可避免地是一个复杂的宏观汞合金，我们还没有充分认识到的中观和微观因素。
